Ukulungiswa kwe-umbilical hernia

Ukulungiswa kwe-umbilical hernia ukuhlinzwa ukulungisa i-hernia ye-umbilical. I-hernia ye-umbilical yisikhwama (isikhwama) esakhiwe kusuka ulwelwesi lwangaphakathi lwesisu sakho (umgodi wesisu) odlulela emgodini odongeni lwesisu kunkinobho yesisu.

Cishe uzothola i-anesthesia ejwayelekile (ilele futhi ayinazinhlungu) yalokhu kuhlinzwa. Uma i-hernia yakho incane, ungathola umgogodla, i-epidural block, noma i-anesthesia yendawo nemithi yokukuphumuza. Uzobe uphapheme kodwa ungenazo izinhlungu.

Udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa ngaphansi kwenkinobho yesisu sakho.

• Udokotela wakho ohlinzayo uzothola i-hernia yakho bese eyihlukanisa nezicubu ezizungezile. Lapho-ke udokotela wakho ohlinzayo uzophusha ngobumnene okuqukethwe amathumbu abuyele esiswini.
• Imithungo eqinile izosetshenziselwa ukulungisa umgodi noma indawo ebuthakathaka ebangelwe i-hernia ye-umbilical.
• Udokotela wakho ohlinzayo angase abeke nocezu lwemeshi endaweni ebuthakathaka (imvamisa engekho ezinganeni) ukuze luqine.

I-hernia eyi-umbilical nayo ingalungiswa kusetshenziswa i-laparoscope. Leli ithubhu elincane elikhanyayo elenza udokotela abone ngaphakathi kwesisu sakho. Ububanzi buzofakwa ngokusikwa okukodwa okuncane. Izinsimbi zizofakwa ngokusebenzisa okunye ukusikeka.

Uma ingane yakho ihlinzwa, udokotela ohlinzayo uzoxoxa ngohlobo lwe-anesthesia ingane yakho ezoluthola. Udokotela ohlinzayo uzophinde achaze nokuthi ukuhlinzwa kuzokwenziwa kanjani.

IZINGANE

Ama-hernias embilical ajwayelekile ezinganeni. I-hernia lapho izalwa icindezela inkinobho yesisu ngaphandle. Kukhombisa okuningi lapho ingane ikhala ngoba ingcindezi ekhalayo yenza ukuthi i-hernia iqhume kakhulu.

Ezinsaneni, inkinga ngokuvamile ayelashwa ngokuhlinzwa. Isikhathi esiningi, i-hernia ye-umbilical iyancipha futhi ivale yodwa ngesikhathi ingane isineminyaka emithathu noma emi-4 ubudala.

Ukulungiswa kwe-hernia embilical kungadingeka ezinganeni ngalezi zizathu:

• I-hernia ibuhlungu futhi ibhajwe endaweni yokuqhuma.
• Ukunikezwa kwegazi emathunjini kuyathinteka.
• I-hernia ayivaliwe ngeminyaka engu-3 noma engu-4.
• Ukukhubazeka kukhulu kakhulu noma akwamukeleki kubazali ngenxa yokuthi kwenza ingane yabo ibukeke kanjani. Ngisho nakulezi zimo, udokotela mhlawumbe uzophakamisa ukuthi ulinde ingane yakho ibe ngu-3 noma 4 ukubona ukuthi i-hernia iyazivala yini.

ABADALA

Ama-hernias embilical nawo ajwayelekile kubantu abadala. Babonakala kakhulu kubantu abakhuluphele kakhulu nakwabesifazane, ikakhulukazi ngemuva kokukhulelwa. Zivame ukuba zikhulu ngokuhamba kwesikhathi.

Ama-hernias amancane angenazimpawu kwesinye isikhathi angabukwa. Ukuhlinzwa kungabeka izingozi ezinkulu kubantu abanezinkinga ezinkulu zezokwelapha.

Ngaphandle kokuhlinzwa, kunengozi yokuthi amanye amanoni noma ingxenye yamathumbu izobambeka (iboshwe) kwi-hernia bese kuba nzima ukuhlehlela emuva. Lokhu kuvame ukuba buhlungu. Uma ukunikezwa kwegazi kule ndawo kunqanyuliwe (ukuklinywa), kudingeka ukuhlinzwa okuphuthumayo. Ungase ube nesicanucanu noma uhlanze, futhi indawo eqhumayo ingashintsha ibe luhlaza okwesibhakabhaka noma ibe mnyama.

Ukugwema le nkinga, odokotela abahlinzayo bavame ukuncoma ukuthi kulungiswe i-hernia ye-umbilical kubantu abadala. Ukuhlinzwa kusetshenziselwa nezinhlayiya ezikhulayo noma ezibuhlungu. Ukuhlinzwa kuvikela izicubu zodonga lwesisu esibuthakathaka (fascia) futhi kuvale noma yiziphi izimbobo.

Thola ukunakekelwa kwezokwelapha ngokushesha uma une-hernia ebuhlungu, noma i-hernia engabi ncane uma ulele noma ongakwazi ukubuyela kuyo.

Izingozi zokuhlinzwa kwe-hernia ye-umbilical ngokuvamile ziphansi kakhulu, ngaphandle uma umuntu enezinye izinkinga ezinkulu zezokwelapha.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini noma ezinkingeni zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zokuhlinzwa kwe-umbilical hernia zifaka noma yikuphi okulandelayo:

• Ukulimala emathunjini amancane noma amakhulu (akuvamile)
• IHernia iyabuya (ingozi encane)

Udokotela wakho ohlinzayo noma i-anesthesia (i-anesthesiologist) uzokubona futhi akunikeze imiyalelo yakho noma yengane yakho.

Udokotela obulala izinzwa uzoxoxa ngomlando wakho wezokwelapha (noma wengane yakho) ukuthola inani elifanele nohlobo lwe-anesthesia ongayisebenzisa. Wena noma ingane yakho ningacelwa ukuthi niyeke ukudla nokuphuza amahora ayisithupha ngaphambi kokuhlinzwa. Qiniseka ukuthi utshela umhlinzeki wakho wezokunakekelwa kwezempilo nganoma imiphi imithi, ukungezwani nezinto ezithile, noma umlando wezinkinga zokopha.

Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha:

• I-Aspirin noma i-nonsteroidal anti-inflammatory drugs (ama-NSAID), njenge-ibuprofen, i-Motrin, i-Advil, noma i-Aleve
• Eminye imithi enciphisa igazi
• Amavithamini athile nezithasiselo

Ukulungiswa okuningi kwe-hernia kwe-umbilical kwenziwa ngokwesikhashana. Lokhu kusho ukuthi uzobuyela ekhaya ngosuku olufanayo. Okunye ukulungiswa kungadinga ukuhlala esibhedlela isikhashana uma i-hernia inkulu kakhulu.

Ngemuva kokuhlinzwa, umhlinzeki wakho uzoqapha izimpawu zakho ezibalulekile (ukushaya ngamandla, umfutho wegazi nokuphefumula). Uzohlala endaweni yokutakula uze uzinze. Umhlinzeki wakho uzokunikeza umuthi wezinhlungu uma uwudinga.

Landela imiyalo yokuthi ungakunakekela kanjani ukusikeka kwengane yakho noma kwengane yakho ekhaya. Umhlinzeki wakho uzokutshela uma wena noma ingane yakho uqala kabusha imisebenzi yakho ejwayelekile. Kubantu abadala, lokhu kuzoba emavikini amabili kuya kwamane. Izingane zingabuyela emisebenzini eminingi zisuka nje.

Kukhona njalo ithuba lokuthi i-hernia ingabuya. Kubantu abaphilile, ingozi yokubuya kwayo iphansi kakhulu.

Ukuhlinzwa kwe-umbilical hernia

• Ukuletha ingane yakho ukuthi ivakashele ingane yakini egula kakhulu
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Ukulungiswa kwe-umbilical hernia - uchungechunge

UBlair LJ, uKercher KW. Ukulungiswa kwe-umbilical hernia. Ku: Rosen MJ, ed. I-Atlas Yokwakhiwa Kwodonga Kwesisu. Okwesibili. IPhiladelphia, PA: Elsevier; I-2017: isahluko 20.

UCarlo WA, Ambalavanan N. Umbilicus. Ku: Kliegman RM, Stanton BF, St Geme JF, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 105.

Malangoni MA, Rosen MJ. UHernias. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 44.